REFORMED MIND HEALTH AND TREATMENT LLC
NPI 1205786738
Nurse Practitioner - Psychiatric/Mental Health in Avondale, AZ
About Reformed Mind Health And Treatment Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REFORMED MIND HEALTH AND TREATMENT LLC (NPI 1205786738) is a healthcare organization registered as a psychiatric/mental health in Avondale, Arizona and active in the NPI registry since February 2026. The organization lists Modupe R Adedoja, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reformed Mind Health And Treatment Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Reformed Mind Health And Treatment LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Reformed Mind Health And Treatment LLC's NPI number?
The NPI number for Reformed Mind Health And Treatment LLC is 1205786738. It was assigned to this organization in the NPPES registry on February 3, 2026.
Where is Reformed Mind Health And Treatment LLC located?
Reformed Mind Health And Treatment LLC is located at 12725 W Indian School Rd Ste E101, Avondale, AZ 85392. The listed phone number is (480) 901-1202.
What is Reformed Mind Health And Treatment LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Reformed Mind Health And Treatment LLC enrolled in Medicare?
Yes. Reformed Mind Health And Treatment LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Reformed Mind Health And Treatment LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Reformed Mind Health And Treatment LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Reformed Mind Health And Treatment LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Reformed Mind Health And Treatment Llc · NPI 1205786738
Psychiatric/Mental Health organization in Avondale, Arizona. Organization record, active in the CMS NPPES registry since February 3, 2026.
## Identity
- **NPI:** 1205786738 (Entity type: Organization)
- **Enumerated:** February 3, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Modupe Adedoja, OWNER
## Practice location
- **Address:** 12725 W INDIAN SCHOOL RD STE E101, Avondale, AZ 85392-9525
- **Phone:** (480) 901-1202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205786738) · Data from the CMS NPPES public registry.